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HomeMy WebLinkAbout007-010-056Devere Pace (� S w/s Hicks Lane l c. no. of Sycamore �_ Lane, Chico Nl�permit 1055-69B close in.bteezeway) Contr: Const oncrete Forms Lor BLOCK SUBDI Permit#692-84P(sola water heater/SF) AV i 3-�9-/ t TYPE OF PERMIT PERMIT NO. PLAN NO. DATE ISS" 01-;1'631 �.. 07-10-56 1VIETZGER;.DEBBIE 3965 HICKS LN. CHIC( - ,1 CONT: D & D HOMES MH.UTILITIES DATE ISSUED REMARKS 01=1632 METZGER, DEBBIE 3965 HICKS LN. CHICO- -e ' CONT: D & D HOMES" MH INSTALLATION p ^'a �� .r GAS , G -/P - /" /p COMPACTION TEST REQ SUPPORT STUCTURE REQ_ -= s i ji PERMIT DESIGNATION: 1 DEPARTMENT OF BUILDING AND SAFETY B—BUILDING E—ELECTRICAL U—USE PERMIT HM—HOUSE MOVING P—PLUMBING TV—RADIO-TV ANTENNA V—VARIANCE EP—ENCROACHMENT_,,, T—TRAILER S/W—SIDEWALK NOTICE S—SIGN PERMIT ,D — DEMOLITION 600.1 r n ti i;r INSPECTION RECORD BUILDING APPROVALS F„R W ¢i aZ Z Z D oC6I- DLLD I ir 93 UOZ J O LL Z UJ u'~ Zrn W C D Z Q a 4 OQ= FJ z Ir OQ= F -J X W KK OF W N is K� I OF W Q Xa W W tjle UO U m WJ UQ g� �E U � 6. x IL Z 4 I SIG. ; DATE I SIG. DATE 1 SIG. ! DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DAVE SIG. DATE 1 I SIG. DATE SIG. DATE SIG. DATE PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES a VENTS FINAL �!/fNovotIlf1W.W /- /JJ;dfl W-1 if PERMIT NUMBER SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES & APPLIANCES METERS FINAL MISCELLANEOUS APPROVALS PERMIT NUMBERt DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE Bath Count, LAND OF NATURAL WEALTH AN D BEAUTY' PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 May 22, 2001 FAX: (530) 538-7785 Debbie Metzger 3965 Hicks Lane Chico, CA Re: Replacement of existing residential home (mobile home) located at 3965 Hicks Lane, on APN 007-010-056 Dear Ms. Metzger: As per our telephone conversations of March 27 and 29, 2001, I have reviewed the information you provided me and have researched the history of this parcel. Although the parcel is located in the North Chico Specific Plan (NCSP) with a zoning of B -P (Business -Professional), the two residential homes on-site have existed there many years prior to the approval of the NCSP and its accompanying zoning of B -P. The two residential dwelling units, two mobile. homes, have existed on the parcel since the 1960s, long before the current NCSP and B -P zoning. The existence of the two homes on the parcel predate any discretionary Planning Division permits normally processed for more than one dwelling on one parcel. As such, there exists a "grand fathered" use of two homes on one parcel. Due to this circumstance, Ms. Metzger, the replacement of a 1960s era mobile home with a new 2001 modular home is allowed. ' If you have any questions, please feel free to call me at (530)538-2117. Very truly yours, I Stephen Hackney Y Associate Planner COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Californie}'95965 - Telephone 916/534-4541 APPLICATION 4ND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ,- ZDNING BUILDIN ERMIT OWNER 1 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS r , Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT9 Filin Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 i Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G JW 1 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 'f _f 'r /� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2I/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. _ Y License No. ' -. r Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or 'offered for sale. (Sec. 7044) ❑ i, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2.50 ea NO N•R ESID BRANCH CIRC ITS NEW CONSTF;L / POWER APPARATUS &' NON-RESID. %SINGLE OUTLET CIR. OR FIXTURES eAL030 Ex. Occu SAL@30 P�o FIXED APPLNS. OR FIXED A Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent,❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occUP. CROUP I TYPE of CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. •" WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,I.alifornia 95965 - Telephone 916/534-4541 APPLICAT14N AND PERMIT PERMIT O. ASSESSOR PARC,EEL� NUMBER ZOONING:5� BUILDING PERMIT Al OWNER fes. 0 T(E(.L.�E`PH�ONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADD�SS/ CONTRACTOR'S NAME TELEPHONE COTRACT MAI LING NADDRESS r U r e O Z. e �' Fireplace C NSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BDIN ADDRESS / � PLUMBING- PERMIT Filin Fee 10.00 9 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF� Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation� Other ❑ Describe work: (��/4-i`� i Permit Fee $Q Q� Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. // DWELLING OCCUP.& OR ADDNS. l ACC. BLOGS. 21/20Sgft CONTRACTORS LICENSE LAW I dec�la,/re I/under penalty of perjury (Check one): V I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. 1.7,431.7,43S1515 -Classification AS ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS. NEW CONSTR. POWER APPARATUS )1 NON-RESID. (SINGLE OUTLET CIR. 1 Ex. OccuPTs OR FIXTURES SAL@L®30 FIXED Ex. OCCUp. OUTTS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. raf I have placed on file with the County of Butte Building Department Wl a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, copts, and expenses which may in any way accrue against s Co ty in c quence of the granting of this permit. X Date 3, �, /IJtc� Signature of Applicant — Owner Contractor ❑ Agent,®' An OSHA permit is required for excavations over 5'Q" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ IS0100 OCCUP. GROUP I TYPE OF CONST, PARCEL PD ND IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC U0 1. A BY' PERMIT E P RES Date the applicable provi- resolutions to do fees have been paid. WORKS 9Date _S'���� / �� Receipt No. IE -3 5?5V5:2 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT NUMBER - B 1055-69 P E PERMIT EXPIRES / - —70 OWNER Devere Page. owner 'CONTR: LOCATION (A.P. 44-01-9 w/s Hicks Lane 1 mi. no. of Sycamore Lane, Chico I _ Zoning Foundation Rgh. Plumbing Rein. Steel_ Framing Wtr. Htr. Firewall ELECTRIC Temporary Final COUNTY OF BUTTE' Department of Pwblic 'Yorks BUILDING INSPECTION RECORD Setback Forms Piers & Girders Fireplace Bond Beam Lath & Plaster_ Gas Piping & Test Found. Vents Plmg. Topout Rough Elec. Furnace Kitchen Vent Garage Vents Sanitation & Water GAS BUILDING Temporary Cert. of Occup. _ Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE ! `✓ DEPARTME14T IQF.:. PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 r Phone- 533-1230, Ext. 259 APPLICATION AND BUILDING PE R M I T Permittee Owner A. P. No. Mailing Address1,.,_t--- — -`t- !"'L' — L .c.-. ,'` ,•r Zoning anitation 5TFee. Contractor % Plans' IW..C.) Mailing Address Planning. I D.P.W. BLDG. Address Its%, j .0 l ' ... �. r-�^ 1. r' /, i / '/ !%a. / w-�✓ %�.�� Rr�i�w_,r� %f/ G • ' t.-� - r NEW ADDITION REPAIRS OTHER Others 1 ' . -r ���✓ bl.-d. Single Multi / USE OF STRUCTURE Familyf-�__ Duplex 'Dwelling Others SQ. FT. I OCC. BUILDING VALUATION Total Valuation I `� Lr i Permit Fee MATERIAL Width at Top Width at Bottom Depth in Ground R.W. PLATE (Sill) Girders Joists - 1st Floor Joists- 2nd Floor Joists- Ceiling Exterior Studs Interior Studs FOUNDATION EXTERIOR -MER SIZE Z�-SP AG eAN }a' ^`'r` 1 J21 ice` 0G ' SSG ,kCi '�-- -e. Plan Checking Fee &/or Penalty I I Roof Rafters '1;7" rq i �J" Q,J` Total Permit Fee I f I Bearing Walls 01N � � a CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: r I am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name styleof.........................................................................................................................................................................................................................:...................... . License No. Classification ............................................... and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q I am the owner of the above property and I will contract to have all of the above work performed by licensed -contractors. ( Sec. 7044). Q' I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the J'< improvements. (Sec. 7044). Basis,, if any, for other statutory exemption................................:................................................................................................................................. .................................................................................................:.................................................................................................................................................................. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply to all County ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. / !� 1{4� J,� / i... ... ..� ?.:. f �....... Date / ,� SIGNATURE OFfP�ERMI)TTEE OAR%AGENT Receipt No.....�...``.' �J 4! ................. ......................................................................... This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS BY ...............:.. - Date + ' Permit Expires Date.: ..:...:... ........',,,,,,, 0/ .1 -OT TIEDOWN CERTIFICATION Installation Permit Numbers C l — /C� Property Owner's Name:9e-lb )Cl Mc ZEK Address or Location of Unit: L160 H r G k( S L IM C h i.e-- r� Assessor's Parcel Number: Manufacturer's Name: ��F o-� C Size: Z% %e y 0 Year of M/H:'2_ 600 Tiedown System Number! aur GvY`lhe�2 I certify that those portions of the tiedown system installed below grade (1) were not damaged prior to or as a result of the installation, (2) were not modified prior to or during the installation, and (3) were installed in accordance with the terms of their listing or with the terms of the engineered plans and specifications. al Signature Date TA Print Name 11 '- I- COUNTY OF.BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ..Awl 7 County Center Drive- Oroville, California 95965 • Telephone (530) 538-7541 PERM T NO. (Rev. 9;6ii PPLICATION AND PERMIT 6/ AS SESSOR PARCEL NUMBER 007-010-056 ZONING BP BUILDING PERMIT OWNER M17=9 -DEBBIE TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 3965 HICKS IN. CHIOD. CA 95973 CONTRACTOR'S NAME D & D HMES TELEPHONE 332-3301 CONTRACTORS MAILING ADDRESS 2243 FFATM RIM BLVD. OROVILI.E CA CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS - Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ x.20-QO Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3965 HIM IN. C IRC Ot CA 95973 Energy Pian Checking Fee $ $ PERMIT FEE S 23.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Oa Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities IT; Installation ❑ Other ❑ Describe Work: lH UTTLITIES Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G . @20.00 60-00 PERMIT FEE $ R(n ELECTRICAL PERMIT Fling Fee 20.00 800VOR LES Main Service 2DDA OR LESS 23.00 7. '{ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is.in full force and effect.POWER V 4„ , i License Class �- � � Lic. No. a � I I � U � I � � 't OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work`for which this permit is issued. P I have and.will maintain workers' compensation insurance, as required by Section 3700 ofthe Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier(' U `4PERMIT Policy Number __neh W f Ca '4- (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant Owner ❑\Contractor ❑ Agent An OSHA permit is required for,excavafions over 5'0" deep and demolition or construction of structures over 3 stories in height., ,v' Main Service PDA TO 1000A 46.00 NEW CONST. ownuNo occuP. so OR ADONS. ( a ACC. eLDs. 3.52FT: N" N.RESID MULTI -OUTLET 97.50 APPARATUS 8 SINGE OAP= CIR.L 20 O I'50 Ex. Occup. OUTLET OR FIXTURES SAL o .so An 5.00 Ex. Occup. ounFrs Es=.DE Temporary Service 23.00 Mobile Home Facilities 20.00 ��• Misc. Wiring 23.00 PERMIT FEE $ b - MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation FET: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166.00 HAz. �- D. FEES IMP �- FLOOD I COF PARCEL ..- I PD .•• I D ISSU �i This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By � �(r� PERMIT EXPIRES ON / / the applicable provisions Resolutions to do work been paid. y a Q Date / 4m to rReceiptNo. �7Si'1 iwirF�t1r1' � ' -� t ITE-D.D.S.-9.D. C7RNARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r NOTES a i y 11 C./ I RESIDENTIAL 07 -1O -X - c. 01-1631 METZGER, DEBBIE -� 3965 HICKS LN. CHICO CONT: D & D HOMES MH UTILITIES //.OFFICE PY Address�W< < GAS Meter By Dat ELECTRI72— l ?3i) Mortar Rv / (Ilat e = OFFICE OP Addres�� _ c I 4�� GAS , Meter B'/2 Da ELECTRIC,— Meter By Dat SPECIAL CONDITIONS CHECKED BY — SRA _ FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. _ SPECIAL INSPECTION ITEMS VERIFY _ USE PERMIT CONDITIONS _ SUB -STANDARD HOUSING LETTER H �l'�). R Af) 130°V o72 `7 JOB FINALED (Date Signature ,/ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (� Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ f' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ r' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Inf iltration-Walls-W indows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ✓='OK 0 = Not OK - = Not Applicable MOBILE HOMES = Not'Readv Date MOBIJIE HOME UTILITIES (Plans) OK except #'s in ning Requirements -Setbacks -Easements v oils; Special MH Support Sketch war; Location -Test -Fall -C/O -Concrete . water; Location -Test -Easement Needed (Sketch) 5. ectricity; Location-Clearances-Grnd-/ /Amp -Concrete as; Location -Test -Wrap; -/ /" L'ft. / P Nat. or/ /"L"ft./ /'LPG II Clearance 6 Disconnect Utility Clearance r MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s Date Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 Date Footings; Soils -Size -Depth -Spacing -Connectors -Steel Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch Date 11. Cert. of Occupancy Date 12. Permanent Foundation Only; License Decal Date FINAL (Plans) OK except #'s Date 1. Card B-1 Date Card B-1 Date 2. Card B-1 Date Card B-1 r MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card 3-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ., COU,NTI OF BUTTE t BUILDING DIVISION ' DEPARTMENT OF DEVELOPMENT SERVICES - 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. +' A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is - completed. If you have any -questions pertaining to this matter, or need additional explanation, P a e contact this office immediately. "1 Vf-G II avot, ,A .A t4--n-r ►', cov`Auri Date e' 2,01 Inspector REV 10/92 J �- All MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: 107 as� PERMIT NO.: Owner's Nam r `� �7 � C�I�rJ f �•? Owner's Address: ,65 Mobilehome Manufacturer: Year of Manufacture: Serial Number or V.I.N.: ?,z4 ZJb Insignia or HUD Number: �/304)(:)7?- Official appr�nstaldatio Date: 2 �r+� I .✓ �"1 If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: PERMIT NO.: Owner's Name: f2— L L YI , t,,: Owner's Address: ✓ Mobileh m,e, Manufacturer: Year of Manufacture: Serial Numberor V.I.N.: Insignia or HUD Number: Official approvi_ ng ins 4latio Date: 01 If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 5138 White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor , . . _ . . .. _ ,__ ' . COUNTY QF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE- N0. (Rew12/96) APPLICATION AND PERMIT QZ ,1/4-31 ASSESSOR PARCEL NUMBER 007-010-056 ZONING BP BUILDING PERMIT OWNER METZGER DEBBIE TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS "UNG ADDRESS 3965 HICKS IN. CHICO CA 95973 CONTRACTOR'S NAME D & D HOMES TELEPHONE 32-3301 CONTRACTORS "UNG ADDRESS 2243 FEATHER RIVER BLVD. ORO LL CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3965 HICKS LN. CHICO CA 95973 Energy Plan Checking Fee $ $ PERMIT FEE $ 23.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome [K Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities EX Installation ❑ Other ❑ Describe Work: MH UTILITIES Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R UES 800VMain Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license IS fU I Ce and effect. + �j License Class �� Lic. No. V L It 6 0 0 F I (l- (.'1 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My worker ' cp pensation insurance carrier and policy number are: Carrier � Policy Number .7 !"t 19 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that d I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service ro ,000A 46.00so NEW CONST. DWEWNG OCCUP. SO W OR ADDNS. a Acc. sLoS. 3.50Fr; NEW NON -R SID MULTI-OUTLETCUr @7.50 POWER APPARATUS a SINGLE oVIIET cIR. EX. OCCU OUTLET OR FIXTURES BAL 0':� Ex. Occup. oM,s Ro .OERAn 5:00 Temporary Service 23.00 Mobile Home Facilities 20.00 2 .00 Misc. Wiring 23.00 PERMIT FEE $ 63.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP_ $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 166.00 HAZ. D. FEES IMP FLOOD CDF — PARCEL �— PD D U This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By]Date PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. . O (/ P. e Receipt No. 311041,/11 n WHITE-D.D.S.-B.D. CANARY -ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT i COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754E MIT N0. (Rev. 12/96) •''' APPLICATION AND PERMIT b1-/ ./ PARCEL NU�-- S co �N BUILDINGPERMIT [ASSESSOR WNERTeuePraNeSO, Fr• OCC. BUILDING VALUATION NERS AMU1q�17,t^cv CONTRACTORS TELEPHONE ��, CONTRACTORS MAdJIq ADDgE88 CONSTRUCTION LENDER LENDERS MAILING ADDRESS Flre lace HITECT OR ENaHEER LICENSE NO. Total Valuation E Filing Fee $ [ARCHITECTOR ENGINEERS MAKING ADDRESS Permit Fee S DINGADORESS Plan Checking Fee S Energy Plan Checking Fee S a LOT NO. SUBDNLS10Ns NAME PARCEL MAP PERMIT FEE $ PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Each Trap7.00 SFO Duplex ❑ Mobllehome� Other Solar or heat um water heater 23.00 sPEGiY Water piping 15.00 TYPE OF WORK Each gas water heater or vent 15.00 NewAddition ❑ Remodel ❑ Lxwes� Instapation 13 Other ❑ Gas pipinstem 1 - 5 outlets 15.00 Building sewer 15.00 Describe Work: _ry) �), o !�V Mobile Home 520.00 Q PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 - — ------ Main Service "OR Is O 200A OR LESS 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. ( DWELLING OCCUR. OR ADONS. i AGCBU . DS. 3.5Q�: NON•RESIO. MULTFOUTI.ET @7.50 POWER APPARATUS & SINGLE oun.ET q0. t Ex. OCCU . OUTLET OR FOnWeq 20 ®t.00 SAL So I Ex. Occup. o ,APPLN M.) 5.00 5.00 I Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 3 •Q� *PERMIT FEE PAID $ / (D `• V MECHANICAL MECHANICAL PERMIT Fling Fee 20.00 SRA - - Conlin SHERIFF Hood 6.50 OTHER Ventilation PERMIT FEPE $ Mobile Home Installation Fee S Energy Inspection Fee S I // ��p OCC TOTALFEES �67 0 hC0NST*,TYPEAMOVNT RECEIVED �p . TWV DFEES IMP FLOOD CDF PARCEL PD HD UE This permit is hereby issued under the applicable provisions i of the Butte County Code and/or Resolutkms to do work *RECEIPT NUMBER �- 5 O �p indicated above for which fees have been aid. P * TO BE PVT INTO COMPUTER By Date PERMIT EXPIRES ON E.H. USE ONLY yf Plot Plan Attached [' f Float Plan Attached Sant to B.D. TO: Building Department FROM: Environmental Health 1 SUBJECT: Sanitation Clearance l Ale 'iQ ar 3 9! _S //)'c ,5 Zn, -7—dI n — a549 OwndF Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well X Clearance for -d". Other /11# �0 6e Gar��P f� �x�sh-ri -Hold final for: Final clearance O.K. for: NOTE: � • �n� ie`u4 �y• l ��5� `7-- �d `-13 l Environmental Health Specialist Date. 9/96 COUNTY OF BUTTE -' DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965'- TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: LLt It ASSESSOR PARCEL NUMBER: (,./� �% — gili% ®D. Proposed Building Use: 0 /L4 [ J U Building Inspector: Date: Q/ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By 1. All iiems have been submitted.------------------------------- 12. Plot plans, 3/4 sets, signed by the preparer of plans. ------ E13. ----- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ E16. ----------------- ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- El 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------- ---------------------------------------------------------------------------- r-1 j9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ r"- 0. Fees of $ -------------Q ------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. -------------------------------=--------------------------------- �) California Department of Forestry plan approval/fees. -----------------------------------------=--------------- 13 3UE, 'd elevation certificate. ---------------------------------------------------------------------------------------- talion and plot plan approval & I Cb Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: ------------------- ❑ . Contact Land Development about El Improvements, El Drainage, 13 Legal Parcel. ----------------- �Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- El 20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ❑ 22. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -• ❑24 tter of signature authorization. ------------------------------- . Recorded copy of Agricultural Acknowledgment Statement. 026. Letter of intent on building use. --------------------------------- ❑27. Manufactured Home utility clearance. -------------------------- ❑28. Existing violations and/or expired permits. --------------------- 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ E130. Other: 01a _ (Date) . f A When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑ Telephone 5,3R —3 and hold for pickup at o ce!❑ Deli :-%Vi spector. Applicant. Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Polluti Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department Date: By: 1. Index permit application for the above items numbered: .j ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the abovedata by ❑ phohe,mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di ' ion counter, by te: Plans reviewed by: Date: Plans approved by: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. �.. .� r^ _ .. -.-r. ^F: wvws.:c•-,c 't_, -L S:'e �'yru v-c•r�,•v .-.:,L,.ny;y.,;s2r,F![.T"s.•-�^•L�'e4`4',����..wf+-r7R+s,£.`q:.se�,7q .,C+".PT •..v..�..'a.+w;�•.-r••...-�.� ..�.sw-.,-pKv---•-�- !p. 1 V7-1 0'01-1632jr,, _ METZGER, DEBBIE '3965 HICKS LN. CHICO CONT: D & D HOMES_ MH INSTALLATION I (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Califor6ia 95965 • Telephone (530) 538-7541,_' ` PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING Cl:f- (W .J5 BUILDING PERMIT OWNER TELEPHONE w c! .t D SIE _ �_LZ0 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1''35 1. 1 C.'.,5 11' IM -1I100 CONTRACTOR'S NA-M-E+� L -w. _- 1 TELEPHONES} �ry�! 532-3.331 CONTRACTORS MAILING ADDRESS 7 J' ' : 'iii :- ., ,� i. r 7 t? =.t I T F C!* 95'55 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER - LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $�.Cii BUILDING ADDRESS 15 *,l.C_:S L;.. �1Ya C� 95979 Energy Plan Checking Fee $ $ PERMIT FEE $ 43.0 LAT NO. SUBDIVISIONS NAME PAW1 1"P Via, --j PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome CT. Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ! Other ❑ Describe Work: ;, :{ T,LTfi1 �",Ti%' Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 'oA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect.POWER License Class i Lic. No. _. I L I L t OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑-,I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit Is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Q Signature of Applicant - ❑ Owner p%Contractor ❑ Agent ' An OSHA permit is+required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service TO t000A 46.00 NEW CONST. DWELLING UCUP. SO DWE200ALLING OR ADDNS. ( a ACC. BLAS. 3.5¢x. NONR6ID. MULTI -OUTLET 97.50 APPARATUS a SINGLE OUTLET CIR. 20 .00 EX. Occup. OUTLET OR FIXTURES BAL L.50 FIXED Ex. Occup. DUT) g ALI69 )E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ •1! Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.0 HAZ. D. FEES IMP FLAOD cDF PA RCEL PD HD IS$tlE j� This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have - (j (I► !� 1 By ti, O� PERMIT EXPIRES ON +1 the applicable provisions Resolutions to do work been paid. t Date 1 I Data Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION — 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER T NO. (Rev.12/96), APPLICATION AND PERMIT 0 -- - - ASSESSOR PARCEL NUMBER ZONING 007-010-056 BP BUILDING PERMIT OWNER TELEPHONE METZGER DEBBIE 32-3301 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 3965 HICKS LN. CHICO CONTRACTOR'S NAME D & D HOMES TELEPHONE 532-3301 CONTRACTOR'S MAILING ADDRESS 65 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAIUNG ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 3965 HICKS LN. CHICO CA 95973 Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISIONS NAME E P14 o4 O PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome f Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15. 0 0 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation IX Other ❑ Describe Work: MR TNSTAT T ATTON Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W I@20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license I y I rce and effect.q p License Class Lic. No. ( 0 19 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I ere Irm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workersoonsaoninsurance carrier and policy number are: Carrier Policy Number D ol_ t 1 O oo 911 y do (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wor a s' compensation provisions of section 3700 of the La or Code, I shall fo with co ply ' those provisions. X Date - Signature of Appf t - ❑ Owner tractor '❑"Agent An OSHA permit is quired for excavations over Sb" deep and demolition or constructionQ of structures over 3 stories in height. Main Service 2 TO tOooA 46. 00 NEW CONST. WNG OCC DWE UP. UP. OR ADDNS. ( 8 ACC. BIDS. so SO 3.50FT. NO" N.pESlp MULTI.OIlTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 g 00 OUTLETEX. Occup. OUTLET OR FIXTURES SAL @ I 0 Ex. Occup. ovntTs RM.oEw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP_ $ Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. D. Es IMP FLOOD CDF PA— RCEL PD HD — This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. / to Receiptl 129046/14? -00 WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7'4 PERMIT NO. (Rev.1 /96) APPLICATION AND PERMIT /lo2Q ASSESSOR PARCEL NUMBER�n ZO"9 r BUILDING PERMIT OWNER V��..J// TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER4 MARINO ADDRESS _ 3- COM 3 p�`n c TELEDNONE M CONSTRUCTION LENDER �Fimplc, Total Valuation S Filin Fee Permit Fee Plan CheckingFee 3 Energy Plan Checking Fee PERMIT FEE $ $ S S a $ ?n nr LENDERS MAILING ADDRESS - ARCHITECT OR ENGINEERLICENSE NO. ARCHITECT OR ENGINEERS MAILING ADDRESS SUILDwGREas J a' LOT NO. sueonnsloNSNAME P EL MAP PLUMBING PERMIT Each Trap Solar or heat um water heater Fling Fee 20.00 7.00 23.00 USEOFSTRUCTURE SF ❑ Duplex 13 Mobilehome y Other SPEC Water piping 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ub ' O Insta9ation�d Describe Work:4� Other ❑ Each gas water heater or vent 15.00 Gas 1 in stem 1 - 5 outlets 15.Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 ------------ ' Main Service 800v OR LESS 200A OR LESS Mein Service 200A TO 1000A 23.00 48.00 NEW CONST. ( DWELLING OCCUR OR ADONS. A ACC. SLD3 NEW C 3.5QF•°: )NST NON•RESID MULTFOUn.ET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. I Ex. Occup. OUTLET OR FO—OWES 20 W-1 —00 SO Ex. Occu (0 I —ML 5.00 5.00 I Temporary Service 23.00 i Mobile Home Facilities • 20.00 Misc. Wirina 1 1 23.00 *PERMIT FEE. PAID SRA -- SHERIFF OTHER AMOUNT RECEIVED $- 1q3,(�6 $—I/a— - -0-6 *RECEIPT NUMBER -3a C) �O * TO BE PVT INTO COMPVT'ER PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Healing Coolin Hood 8.50 PERMIT FEt S Mobile Home Installation Fee $ /00-00- Energy ®a.QQEnergy Inspection Fee S xc CONST. TTP£ TOTAL FEE $ I�Z• D. FEES I IMP I FLOOD I COF PARCEL I FO I NO I 6SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON COUNTY OF BUTTE - DEPARTMENT .OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT APPLICATION DATA SHEET OWNER: ASSESSOR PARC ER: 00 I — C7 S Proposed Building Use: 111tU Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to perm p cessing and/or issuance: Date Received By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- 113. --------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. 115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- El 6. Energy Design Compliance and supporting documentation. El 7. Statement of Intent for Non -Heated and A/C Buildings. ---- Hazardous Material Form. ------------------------------------------------------------------------------------------ r Manufactured Home data and installation instructions including Tie Down Specifications .--------------- -- 0. Fees of $ % �, 0-0 ------------------------------------------------------------------------------------- 1. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- 013 -Flo elevation certificate. ---------------------------------------------------------------------------------------- S talion and plot plan approval Health Department. ------------------------------------------- a • 4 �5. City of Chico plumbing permit. ----------------------------------------- ---------------------- -------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: 1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --- ❑20. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). El 22. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - ❑24. Letter of signature authorization. -------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. - 26: tter of intent on building use. ---------------------------------- Manufactured Home utility clearance. -------------------------- 028. Existing violations and/or expired permits. --------------------- 029. 11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $, 1130. Other: When you issueeWrni pg6 j as follows C-1Mailto owner, ❑Mail to contractor. ❑ Telephone and hold for pickup at 9Arce. ❑ Diekv inspector. (Date) APPlicant _� Date: r �� Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution ate: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: / Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building rvision counter, by Date: Plans reviewed by,: Date: Plans approved by: Date: Sets-.of' on hold in 11Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy.= D'eparlment of Development Services, Building Division. i f OWNER a COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 4 SCHEDULE OF FEES DUE PROPOSED BUILDING USE 1. BUILDING PERMIT FEES --Balance Due ................ :....................................... $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ 2. SCHOOL DISTRICT FEES CD '(paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units, Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ -x-=$ # Units Amt. A.P. # DATE RECEIPT # DATE REC. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 45. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during )he plan checking process. APPLICANT > DATE Pursuant to Government ode ion 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. ou have 90 days from the date of approval of the projector from the imposition of the above mentioned - items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy -Applicant 3rd Copy - Owner (Rev. 6/00) i y •tip ® BUTTE COUNTY PARKS DEVELOPMENT FBS CERTIFICATION FORM CHICO AREA RECREATIO�Np AND PARK DISTRICT Assessor Parcel Number(s) 06 ' /. Property Owner Project Location/Address. Subdivision Lot Number(s) Residential Development: (check one) New Development _Alteration/Addition Total Number'of Dwelling Units 0 -A-I Comment: Mobilehome(s) Non -Residential to to Residential Biding Depart en Representative Date Chico Area Recreation and Park District(dARD) certifies that (Applicant Name) (Phone Number) (Street Address) (City) (State) (Zip Code), a� has complied with the requirements of Butte Co. Resolution No. 90=140 'by payment for dwelling units @ $1,189 for total payment of $�! CARD Rep-esentative Date PAID BY. CHECK NO. BANK N0 PAID BY CASH RECEIPT N0. REMARKS:- Distribution: EMARKS Distribution: White --Applicant Pink --CARD park:fec (form revised 11/90) Ye,lIlDw=-Butte Co. Building Dept. Goldenrod--City•of Chico Building Dept. Y BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District 0' i / 0- ('J A.P. Number no — (;I (/s5risdiction: � City Property Owner Property Location/Ac Subdivision Building Department No. County Residential Development No of Living N6ile Home Units Installation t Commercial/Industrial New Addition Building Department Representative Lot No. .................................................................................................................. ^ q Sq. Footage / Addition/ 'Supplemental to (Group ) Conversion Permit # I a C f '(No foundation inspection): ............................................................................ . Sq. Footage goor runs reviewea oy acnool uisinc[ rersonneu (Including Exterior Roofed Areas) —0/ Date District Identification icNo. /V CA/� School District certifies that (Applicant) (Street Address) (Phone Number) (City) %(State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing 1p square feet. AB 2926 $ FULL MITIGATION $ � 1 School District Reores ntative A Date / Paid by Check # Remarks: • xi�!/j/%l pt��}r �%e'f�%�. / �Qi%)�(.�/ttal )M n (nb (a �1-19 of Y Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools-lmpic_f Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) • • feeform.xls (10/98)dmm 11 r _ ' Y BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District 0' i / 0- ('J A.P. Number no — (;I (/s5risdiction: � City Property Owner Property Location/Ac Subdivision Building Department No. County Residential Development No of Living N6ile Home Units Installation t Commercial/Industrial New Addition Building Department Representative Lot No. .................................................................................................................. ^ q Sq. Footage / Addition/ 'Supplemental to (Group ) Conversion Permit # I a C f '(No foundation inspection): ............................................................................ . Sq. Footage goor runs reviewea oy acnool uisinc[ rersonneu (Including Exterior Roofed Areas) —0/ Date District Identification icNo. /V CA/� School District certifies that (Applicant) (Street Address) (Phone Number) (City) %(State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing 1p square feet. AB 2926 $ FULL MITIGATION $ � 1 School District Reores ntative A Date / Paid by Check # Remarks: • xi�!/j/%l pt��}r �%e'f�%�. / �Qi%)�(.�/ttal )M n (nb (a �1-19 of Y Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools-lmpic_f Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) • • feeform.xls (10/98)dmm 11 i ,AND Witt/ RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 11�zrll- 2$0 1 —0033560 Recorded Official Records CoBUTTEf CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 11:42AN 30 -Jul -2001 REC FEE 10.00 CONFORM .00 Cindy Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the'use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, Plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date O I PR ERTY O State of California County of On � b 7- Al v - n I before me, jb rhhrc se . i, in n r L i R khl i C - personally appeared Mn, ,r,, ' (--hwe I I — aersonally !mown to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument, and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hang 4nd official seal. Signature Seal: S. AMBROSE COMM 91295163 A.P. 4 C)b`+ - 01 0 ,bS l � 2S NOTARY PUBIC-CAUFORNIA Q COUNTY OF BUTTE Comm. Expires Feb. 24, 2005 ;f Order No. 00193762-002 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 15, 1976, IN BOOK 59 OF MAPS, AT PAGE 84. AP N0, 007-010-056 AP OWNER PERMIT MI UT IL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support• Struc. Compactic Test-lteq. Service Size Other Load Type Pipe Size Length YES NO YES I N( �s AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE, CA 95%5 COPY of Document Recorded 30 -Jul -2001 2001-0033560 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plug, spraying, pig, and Vesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date State of California County of �A On b'7 -.tel ,, _ n I before me, R 1 i L.. personally appeared personally (mown to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the Instrument, the person(s) or the entity upon behalf of which the persop(s) acted, executed the instrument. WITNESS my Ian and official seal Signature ii.S. AMB•� A.P. # NOTARY PIMIC.CAUFORNIA 4 COUNTY OF BUTTE Comm. Who Feb. 24, 2005 ` Order No. 00193762-002 EXHIBIT A„ • 7 THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS; ALL THAT CERTAIN REAL PROPERTY SITUATE IN THECOUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 15,,., `1976, IN BOOK 59 OF MAPS, AT PAGE 84. . r r AP NO. 007-010-056 r y t o � N 0 C !" ,C .N E. O = U V j w CATHEDRAL , � 3058 I OPT 4610 3040 I 3658 I Go MASTER BEDROOM W/H -L3 LLL {U/� ' DINING ` L j—LLL LI OPT LLLLL' ! " -LLLLLLLL LLLL`L`LL`� �® •LL LL LLL LLI LLLLL LLL f LL LL LLLLLLI • , 28 J LLLLL LLLLLL� I® L LL LLLLLLI .r —I.LLLLL L LLLLLL —L LLL LLLLLLL I WSHR -LLLLL 11 L LLLLLL 0 LL LLL LLLLLLL 0 I-LLLLL LLLLL ' L LLL LLLLLLL co J_ ILLI ! I LI— �1 LLL LLLLLLL QL�L I co wi -LL Ll o� _L _IOP 2 f LLLLLLL 4— ' 28 N'LLLL�� I Q . 0 -.LL- LL LLL_ 36" -LLLLLLLLS CO 30 �. MIRROR -LLL[. I 1.0-1 ) 00 W`rQ9� r L _— ; MOI I �28� L---jC9 54' L —LL MIRROR LL !-: -,%.28 24 / \ --1 O OLS LLLLLLN F'I LL LLLii� 28 28 1, to 28 LLLLLUIo LLL LLLLLLLLI ' u OPT 1 O 1 w "_LLLLLLLLLW I ` / ''1�LLLLLLLLI / DORMEI�1 t _1-LLLLLLLL' / 1 M .L LL LL[ OPT OVALILA co l �� BEDROOM #2 ,'t -9 �✓ ` / LMIVG ROOM % 3058 3058 a, 3058 3058 � c --8'-6" 9'7 6,6 \0 \ 12'-0' �� 18'-0" �l CATHEDRAL 48'-0" _ 12e oCa F( EL"71/1/Gp NGiES:E WOODLAND PARK L BY' C MARTINEZ SG4LE:3 MODEL NO. SERIAL N0. SMT. I STD I INF nRAWINC; DATE: 1/12/ 0 REV. _ 4483J ^� �o A 007- PA, 0r',VAA . An, S �., Environmental Health JUL -9 2001 Chico, .California 0 nc_�f�i,��i til u I 0 nc_�f�i,��i til G N0TP-. See the, attached Pages Qwz k 6 � 4 Z 'A A 0�PAIL 8.1 r DEP � R , +i`l r < S CIO 0 In U 0 3 ry O T_ 0 O 0 3 E -- w W r rs. m rn 0 Lz] 3 O I r— N I Z ti 24:-o" ;T Nfffla' - ag be tri:;t as cn exQc: nt,rrs } This ::Qcr p'cn �: its'age ahcul/ i;te len2=h Mrd/or Widt" oris. =crams 441 !�a'9i4) 511avn 'firth lose �mn 7.0 �Z E�Msr, ragommant5 L►r' �a�l soh 42r� or-aamoelY r rrlQvci per 8irdct �QC7LE�C Un LI.? 4rintl C.ttl, Go- ;feu I r. xK . nV PAT BLOCER r T `�` tA1n AC 29 2 s=4 J OPT 20 LL 1 17r. � ;VAX. HT. 90' llfl' / (yOPT lt�i 3J wz wa• �. 14VI�1^v i3Q1M OPT 2fi9d mFt. F�-- v $800 t 6 i0'�� 32 32 5900 2A 15 d fi -0' z i OFT 2 A � / EYI'3i r/ cr�s RE ai7 ss -11 � t� is I STD p,;r2Y ` w, 30 LL 10 L MAX. HT 90" lie t BS% COD 7AI9 10 i35. 1 v p A� �•�tc t^ . FECE .R_..:��<..Acres ^�a HOUSING CC\STR',;_=gt1 A 0' 31 `�'P� s31. L S 1�'- 132' %SPS—Y53AV��'1� I a i:=)'�1iYV r< iLLYAI j5.__- 1 51 fl Iv c 4 G —7 i-- � di 3431s rn 63', 0s�'—t�' SHT. LAND t J ; -'rT• PML EOX ism- it tit�C C PLAN Y{Z' n ��0 °Ft L'y- um- =Y r•2i: ✓ '\v'='S��01''I ZINC IM10:21111:1a .-d.Y �a -'-r l"^il.:�rnR: ,.•� t7r'fr. 1-0 K= RAI G� Gv A; Gr:U . t+s• r I ' � � t Z CL a- qq • I . Owner's Name: 2. Assessor's Parcel Number ame43. Installer's Name- 4. . Is the site currently under permit? Yes[ J No ' Permit No. { To,d 5. Is the site an existing site? Yes[ ] No['l1 (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? oo Arriperes. 7. What is the mobilehome site circuit breaker rating? 10& Ai,pefesi. 8. What is the electrical rating of the mobilehome site?L I E?p Amperes. 9. Is the main service remote from the mobilehome-site? Yes[ ] No[ ] If�it is, what is < the rating? =X-0 0 Amperes. 10. Is,there any other electric load to be served by the mobilehome site .electric service (i.e. well, garage etc.)? Yes[ ] .No[ ] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes 11. Type of gas service at mobilehome site: Natural[ ] Propane[Af None[ ] 12. Size of gas pipe at • the mobilehome site from the meter or . tank':, � : 3 inches. � . 13. What is the gas pipe length from the meter or tank to the mobilehome? aO t . 14. What is the mobilehome gas demand? B'T.U.* *(This information is not required if the pipe length is less thank6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLE'T'ED INORDER TO PROCESS THIS PERMIT APPLICATION Z. \ May t995 �1. �. 8.5 �dLri=60 00-ZT.-I_nf. ZO'd Mobilehome Manufacturer: Manufacture Year: _241bo If other than single wide, furnish Setup Model Number: Width:- a 4 (ft.) Length: !� (ft.) Tagalong or Expando Size (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure trey d or foundation grade[�Other: SUPPORTS: Concrete block[gOther: Provide Tie Down Specifications for all Mobilehomes: Line 1 Piers: Line 1 Openings Size minimum: Ix V 1. Size minimum: [ 12,1 x 1.3 o ). Spacing maximum: IV I Each side of openings From ends -maximum: with width over: p Line 2 Piers: Size minimum: x z 41. Spacing maximum: From ends -maximum. I p ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum. Location (from front): Line 4 Piers: Size minimum: Spacing maximum: ` From ends -maximum ` (z) C2 ) '�Gx3c ayx�o a.Hx3o 3fox3o OVER fi� Vel:60 00-2i-I.nf MAIN BEAM FOOTING CONFIGURATIONS AND SPACING 13 WIDE - MULTIPLE SECTIONS :.;. SECTION 'A' MAXIMUM MAIN BEAM FOOTING SPACING (In Feet) Live , riple. Pad Footing Two Dbl Pad Ftng. , Load (psf) SPACIMO Main Beam Size VANES SECTION 'C' - SEE TABLE ' i • '' ■ MAIN BEAM FOOTINGS 1 10' 1 12' These tables determine the footing pad configuration and footing spacing along the main beams of the section(s). Refer to pages 13 and 14 for footing pad configuration details. Review the table that indicates the footing type you are going to use. Refer to page 17 for the procedure on using the tables. 8" X 16" X 4" CONCRETE FOOTINGS Roof MAXIMUM MAIN BEAM FOOTING SPACING (In Feet) Live Dbl. Pad Footing riple. Pad Footing Two Dbl Pad Ftng. Load (psf) Main Beam Size Main Beam Size Main Beam Size a �i 8' 1 10' 1 12' 8'10' 12' --8;—F-10- 12' 1000 20 30 2 36' 236' 236' 4 4' 4'.6- 4 4 40 40 2'.6• 2'-6' 2'-6' 3'-6' 3'-6' 4'' 3'-6' 5'-6' 5' 5'-6' 5' V-6- 5- 1500 20 30 4'-6' 4' 4'-6' 4' 4'-6' 4' 7' 7' 7' 8' 9'-6' 9'-6- 40 3'-6' -6;'-j--6- 3'-6' 3'-6' 6' 5'-6' 6' V-6' 6' 5'-6' 8' 7'-6' 8'-6' 7'-6' 8'-6' 7'-6' 2000 30 j 6'-6' 8' 9'-6' 9'- 6' 8' 10' 12' 40 5'-6' S =6' 5'-6' 8' 8'-6' 8'.6' 8' 10' 11' 5 5' 5' 7'-6' 7'-6' 7'-6' 8' 10' 10' 3000 20 30 8' 8' 9' -6' 8'-6' 9'-6 8'-6' 8' 8' 10' 10' 12' —8 10' 12' 40 7'-6' 7'-6' 7'-6' 8' 10' 12' 11'-6' 8' 8' 10' 10' 12' 12' 4000 20 30 8' 8' 10' 10' 12'-0' 11'-0' M2' ' 8'10' 8' 10'12' 12' 40 8' 10' 10'-0' ' 8' 10' 12' Aq 22